DR. MICHELLE A. BRODERICK (O.D.) – Optometrist, NPI 1003814096
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
219 OPTOMETRY in ME
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Provider Addresses for DR. MICHELLE A. BRODERICK (O.D.)
82, Maine Street, Brunswick, Cumberland County, Maine, 04011, United States
BRUNSWICK, ME 040112015
Phone: (207) 729-8474
Fax: (207) 729-8955
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $242.
Total Amount is formed as General ($242) + Research ($0) + Ownership ($0) = $242.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Alcon Vision LLC ($115).
Total Amount
$242
General + Research + Ownership
Payments
11
Total payment records
General Amount
$242
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-06-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050614001176 | I | Optometry | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 140 | 140 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 62 | $0 |
| 92012 | Established patient problem focused exam of visual system | 60 | 40 | $0 |
| 92083 | Exam of visual field with extended testing | 42 | 29 | $0 |
| 92133 | Imaging of optic nerve | 34 | 24 | $0 |
Insurance plans in this area (ZIP 04011)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | ME | |
| O P T O M E T R Y | MA | |
| O P T O M E T R Y | ME | |
| O P T O M E T R Y | ME | |
| O P T O M E T R Y | ME | |
| O P T O M E T R Y | ME | |
| O P T O M E T R Y | ME | |
| - | ME | |
| O P T O M E T R Y | ME | |
| O P T O M E T R Y | ME |
Reviews
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